Average salary: $76,852 /yearly
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...organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance... ...develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal...
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...Job Description
Utilization Review (UR) Coordinator- PRN
Haven Behavioral Hospital of Dayton is seeking caring and compassionate people to join our team of devoted healthcare professionals.
Shifts: PRN- Daytime Hours
Why Haven of Dayton?
Haven Behavioral...
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...Description Salary: $25-$35
Job Summary :
Responsible for reviewing medical records, preparing clinical appeals (when appropriate)... ...of stay, and authorization denials for hospitalized patients. Utilization Review Manager will be responsible for compliance with CMS...
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...never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at
About the job:
The Utilization Review Nurse ensures that authorization requests and provider or member inquiries are handled appropriately within established...
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Full time
Relocation package
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...hour drive of Wooster Community Hospital
Part-time (24 hours/week) to cover Weekends (Sat/Sun/Mon) Utilization Management
UTILIZATION MANAGEMENT NURSE REVIEWER
MAIN FUNCTION:
The Utilization Management Nurse Reviewer (RN) serves as the Subject Matter Expert...
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Immediate start
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...POSITION SUMMARY
Performs utilization management of medications prescribed and covered under the Injured Workers' Bureau of Workers'... ..., collaborates with providers as part of the drug utilization review process, and educates injured workers.
ACCOUNTABILITIES
#...
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...advance in your career.
Fox Run: The Center for Children and Adolescents, a subsidiary of UHS, is recruiting for a full-time Utilization Review Coordinator , to coordinate Utilization Review functions, monitoring the utilization and continuum of services to optimize...
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Full time
Local area
Monday to Friday
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...treatment to adults, adolescents and their families. At Columbus Springs we are dedicated to Changing People’s Lives® .
The Utilization Review department plays an essential role in helping fulfill our mission of “ Changing People’s Lives®”. Utilization Review team...
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Part time
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...help us put health first
Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to... ...to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward...
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...health first
Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support... ...interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward...
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...Delaware, United States
Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits... ...providers.
Job Summary:
+ Perform physician-level case review, following initial nurse review, of Medical Oncology regimens...
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Local area
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Work from home
Relocation bonus
...Responsibilities
Windsor Laurelwood Center for Behavioral Medicine
Utilization Review Clinician
We are looking for a Utilization Review Clinician to join our team!
In this role as UR Clinician you will perform admission and concurrent review of patients...
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...Castle County and northern Maryland.
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Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
Completes pre-certs and concurrent reviews as assigned, on appropriate day and...
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...here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Utilization Review RN who will:
Provide administration of medical management programs that include:
Prior authorization
Concurrent...
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Local area
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...we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling an Associate Utilization Review Specialist who will:
Be responsible for all core functions in one or more of the following clinical teams:
Prior-authorization...
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Local area
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...patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UR Director leads...
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Part time
Local area
Water Utility Excavation Laborer
The Water Distribution Maintenance position involves a broad range of duties associated with repair, maintenance, and inspection of the water distribution system.
Essential Job Functions:
• Responds to emergencies, deal with the...
Direct hire (permanent) opportunity at an elite employer in Chillicothe, ;
Overview
In this role, the qualified candidate will manage and supervise all activities in and around the assigned area of responsibility and, also support the remaining areas in the department...
Permanent employment
...per month)
- Profit sharing bonuses are given to employees based on a multitude of factors. Every 6 months, the pool of money is reviewed to see what gets turned back to the employees. Most recently it was $600k between roughly 60 people.
- Your level of bonus is based...
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Night shift
..., free from harassment and discrimination, where all team members feel welcomed, valued, and respected.
Summary:
The General Utility position is a basic labor job that can be located in several different functional areas of the plant. In this position the employee...
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Afternoon shift
